Kermarrec S, Mougli K
Pôle Hospitalo-Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Université Rennes 1, CHGR, Rennes, France.
Protection de l'Enfance et Délinquance des Mineurs, Rennes, France.
Encephale. 2015 Sep;41(4 Suppl 1):S45-9. doi: 10.1016/S0013-7006(15)30006-3.
Within the past few years, the problem of repeat teenage offenders has raised troubling questions among the various institutions in charge of this population. The temporalities of these adolescents are marked by immediacy, urgency, and repetition that circumvent a linear view of time and the programs set up to handle them. Studies on repeat teenage aggressors (notably, sexual aggressors) have shown that these young people often have a history of an acknowledged or unacknowledged trauma. The fact of having been a victim of abuse during childhood is thought to be a factor leading to later acting out. Our objective is to inquire into these juvenile delinquents and their treatment using a temporal framework of their life pathway that will influence the ways in which they are treated by professionals. By tracing back through the lives of these young authors of violence, we can find out whether they were themselves victims. Repeated acts of violence by a youth could then be seen not as isolated acts but as expressions of ill-being, of having been a victim, whether recognized or not. The act thus represents a link between the present and the past that can be analyzed by looking at occurrences of acting out. It would be interesting, moreover, to reflect upon how continuity could be created there where disruption strikes the youth and often the institutions too. We provide a detailed description of the notion of trauma by recalling its definition and its possible immediate and deferred effects on these youths. In the immediate time frame, the subject may present a physical reaction to the trauma. The psychological reaction will determine a psychic time frame expressed in several ways, whether immediately or at a distance from the traumatic event. Posttraumatic reactions may hamper the development of the teenager's personality. Some traumatized adolescents will express their ill-being by aggressiveness, as they replay the traumatic scene by staging violent and dangerous actions. Next we examine the different intertwined and interacting temporalities of the concerned institutions - namely, the legal, educational, and psychological therapeutic time frames - and how they contribute to creating a link between the past and the present in order to reconstruct the subject's life history. Legal time corresponds to the time during which the committed act is put into words, its significance is determined and judged, and a penal response to the offense is issued. Judgment time constitutes a waiting period for the subject; once the legal decision is made, the subject can mentally return to the present. The subject may experience this waiting period as a time to think about his/her act, in which case it may initiate a time for psychotherapy. Other youths will deny the posited act, thereby preventing any projection into the future. Educational time can only become fully meaningful once the legal decisions have been announced; its purpose is to help these youths project into a future in which their acts will repeatedly end in failure. Lastly, psychological therapy time can constitute a period of reconstruction and repair by making sense out of the acted-out events in the subject's life history. Repetition of delinquent acts, then, should be understand not as the repetition of isolated acts leading to disruptions that call for a response each time, but more as a means of finding meaning by reintegrating a repressed history that perturbs the present and prevents the adolescent from making a life plan. The complexity and interaction of these different temporalities (legal, educational, and psychological) prompt us to reflect upon the interconnections that should be set up, in the form of networks, to best accompany these teenagers and make their time meaningful, notably by enabling them to project into the future.
在过去几年里,青少年累犯问题在负责这一群体的各个机构中引发了令人不安的问题。这些青少年的时间特征表现为即时性、紧迫性和重复性,这与对时间的线性看法以及为处理他们而设立的项目背道而驰。对青少年累犯(尤其是性侵犯者)的研究表明,这些年轻人往往有过公认或未被承认的创伤史。童年时期曾遭受虐待被认为是导致日后行为失控的一个因素。我们的目标是利用他们人生轨迹的时间框架来探究这些青少年罪犯及其治疗方式,这将影响专业人员对待他们的方式。通过追溯这些暴力行为的年轻肇事者的生活,我们可以查明他们自己是否曾是受害者。那么,青少年反复实施的暴力行为就不应被视为孤立的行为,而应被视为其不良状态的表现,即曾是受害者的表现,无论是否被意识到。因此,这种行为代表了当下与过去之间的一种联系,可以通过审视行为失控的发生情况来进行分析。此外,思考如何在给青少年以及往往给相关机构带来困扰的混乱局面中创造连续性,将会很有意思。我们通过回顾创伤的定义及其对这些青少年可能产生的即时和延迟影响,对创伤的概念进行了详细描述。在即时时间框架内,个体可能会对创伤产生身体反应。心理反应将决定以多种方式表现出来的心理时间框架,无论是在创伤事件发生的当下还是之后。创伤后反应可能会阻碍青少年人格的发展。一些受过创伤的青少年会通过攻击性来表达他们的不良状态,因为他们会通过上演暴力和危险行为来重演创伤场景。接下来,我们将审视相关机构(即法律、教育和心理治疗时间框架)不同的相互交织且相互作用的时间特征,以及它们如何有助于在过去与现在之间建立联系,以便重构个体的生活史。法律时间对应于将犯罪行为用语言表述出来、确定其意义并进行评判,以及对犯罪行为作出刑罚回应的时间段。判决时间对个体来说是一个等待期;一旦作出法律裁决,个体就能在心理上回到当下。个体可能会将这个等待期体验为思考自己行为的时间,在这种情况下,它可能会开启心理治疗的时间。其他青少年会否认所认定的行为,从而阻止对未来的任何展望。只有在宣布法律裁决之后,教育时间才能完全变得有意义;其目的是帮助这些青少年展望一个他们的行为将屡屡以失败告终的未来。最后,心理治疗时间可以通过梳理个体生活史中行为失控的事件,构成一个重建和修复的时期。因此,犯罪行为的重复不应被理解为导致每次都需要作出回应的干扰性孤立行为的重复,而更应被理解为通过重新整合一段压抑的历史来寻找意义的一种方式,这段历史扰乱了当下,阻碍青少年制定人生计划。这些不同时间特征(法律、教育和心理)的复杂性和相互作用促使我们思考应以网络的形式建立哪些相互联系,以便最好地陪伴这些青少年,让他们的时间变得有意义,特别是通过使他们能够展望未来。